Gaither, Shayla Kristin

Gaither, Shayla Kristin is an individual health care provider with primary practice located at 3600 Joseoh Siewick Dr , Fairfax VA 22033. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is her primary health care specialty. Gaither, Shayla Kristin can be contacted via phone (703) 391-3129.

Contact Information

Primary practice address
3600 Joseoh Siewick Dr Fairfax VA 22033
Fax: (703) 391-3006
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 0101253266 Virginia
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 0101253266 Virginia
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 57.010479 Ohio

Profile Details

NPI number 1457562720
LBN Legal business name Gaither, Shayla Kristin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2007
Last updated Feb 7th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457562720 NPPES
Virginia MEDICAID 1457562720

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